TY - JOUR
T1 - Zoonotic tuberculosis and brucellosis in Africa
T2 - Neglected zoonoses or minor public-health issues? The outcomes of a multi-disciplinary workshop
AU - Marcotty, T.
AU - Matthys, F.
AU - Godfroid, J.
AU - Rigouts, L.
AU - Ameni, G.
AU - Gey Van Pittius, N.
AU - Kazwala, R.
AU - Muma, J.
AU - Van Helden, P.
AU - Walravens, K.
AU - De Klerk, L. M.
AU - Geoghegan, C.
AU - Mbotha, D.
AU - Otte, M.
AU - Amenu, K.
AU - Abu Samra, N.
AU - Botha, C.
AU - Ekron, M.
AU - Jenkins, A.
AU - Jori, F.
AU - Kriek, N.
AU - McCrindle, C.
AU - Michel, A.
AU - Morar, D.
AU - Roger, F.
AU - Thys, E.
AU - Van Den Bossche, P.
PY - 2009/7
Y1 - 2009/7
N2 - Late in 2007, veterinary, medical and anthropological professionals from Europe and Africa met in a 2-day workshop in Pretoria, South Africa, to evaluate the burden, surveillance and control of zoonotic tuberculosis and brucellosis in sub-Saharan Africa. Keynote presentations reviewed the burden of these diseases on human and livestock health, the existing diagnostic tools, and the available control methods. These presentations were followed by group discussions and the formulation of recommendations. The presence of Mycobacterium bovis and Brucella spp. in livestock was considered to be a serious threat to public health, since livestock and animal products are the only source of such infections in human beings. The impact of these pathogens on human health appears to be relatively marginal, however, when compared with Mycobacterium tuberculosis infections and drug resistance, HIV and malaria. Appropriate diagnostic tools are needed to improve the detection of M. bovis and Brucella spp. in humans. In livock, the 'test-and-slaughter' approach and the pasteurization of milk, which have been used successfully in industrialized countries, might not be the optimal control tools in Africa. Control strategies should fit the needs and perceptions of local communities. Improved intersectoral and international collaboration in surveillance, diagnosis and control, and in the education of medical and veterinary personnel, are advocated.
AB - Late in 2007, veterinary, medical and anthropological professionals from Europe and Africa met in a 2-day workshop in Pretoria, South Africa, to evaluate the burden, surveillance and control of zoonotic tuberculosis and brucellosis in sub-Saharan Africa. Keynote presentations reviewed the burden of these diseases on human and livestock health, the existing diagnostic tools, and the available control methods. These presentations were followed by group discussions and the formulation of recommendations. The presence of Mycobacterium bovis and Brucella spp. in livestock was considered to be a serious threat to public health, since livestock and animal products are the only source of such infections in human beings. The impact of these pathogens on human health appears to be relatively marginal, however, when compared with Mycobacterium tuberculosis infections and drug resistance, HIV and malaria. Appropriate diagnostic tools are needed to improve the detection of M. bovis and Brucella spp. in humans. In livock, the 'test-and-slaughter' approach and the pasteurization of milk, which have been used successfully in industrialized countries, might not be the optimal control tools in Africa. Control strategies should fit the needs and perceptions of local communities. Improved intersectoral and international collaboration in surveillance, diagnosis and control, and in the education of medical and veterinary personnel, are advocated.
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U2 - 10.1179/136485909X451771
DO - 10.1179/136485909X451771
M3 - Article
C2 - 19583911
AN - SCOPUS:67650501463
SN - 0003-4983
VL - 103
SP - 401
EP - 411
JO - Annals of Tropical Medicine and Parasitology
JF - Annals of Tropical Medicine and Parasitology
IS - 5
ER -